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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750033
Report Date: 09/01/2021
Date Signed: 09/01/2021 02:05:34 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:KIDS & CARE INC.FACILITY NUMBER:
367750033
ADMINISTRATOR:CLAUDIA V. GARCIAFACILITY TYPE:
840
ADDRESS:15138 MAIN STTELEPHONE:
(760) 956-5000
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:42CENSUS: 0DATE:
09/01/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:46 PM
MET WITH:Claudia GarciaTIME COMPLETED:
02:16 PM
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LPA's Maddox and Thompson-Miller met with Owner, Claudia Garcia for the purpose of conducting a Pre licensing inspection for a School Age component. The center consist of 3 classrooms, Staff Room, Office space, bathrooms. and the outside play area. Applicant is also seeking licensure of a Preschool component (X367750034) and an Infant Component (X367750032) on the same premises. The School age component will be to the right as you enter the center (when facing the center). Days/hours of operation will be Monday through Friday from 6:00 am to 6:30 pm.

Measurements were as follows:
Indoors: 60 X 22 = 1320/35 = 38
Bathrooms: 1T/1S
Outside: 3244/75 = 43

Sign-in and Out Procedure: Center will utilize an electronic sign in and out procedure (Procair) Center has the capability of producing hard copies if needed.
During this inspection there were 2 individual bathrooms, each with 1 toilet and 1 sink.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS & CARE INC.
FACILITY NUMBER: 367750033
VISIT DATE: 09/01/2021
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A review of medication policy indicated that only prescription medication is administered with parent's written permission (licensing medication form- LIC9221 - also used). The Director or Lead Teachers will administer medication and document the dosage, date and time onto a log. Medication will be properly labeled and stored in its original container.

The entire center is still under construction (indoors and outdoors) and not set up yet to welcome children or staff. Applicant states she was having difficulty with orders she has placed for furniture and equipment and finding workers to complete the project. Pending Fire clearance verification. Applicant is requesting an additional 60 days to prepare the center
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC809 (FAS) - (06/04)
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